Depression, Disordered Eating Behaviors, Feeding Behaviors, Parent-Child Relations
Conditions
Brief summary
This clinical trial is evaluating the effects of a 2-hour, small group discussion with parents and caregivers of adolescents in Oregon. The investigators will evaluate whether parents'/caregivers' experience reductions in their disordered eating symptoms, mood symptoms, and parent-child relationship quality, relative to parent/caregiver participants in the wait list control. The investigators will also evaluate whether the children of these parents/caregivers experience improvements in their disordered eating and mood symptoms.
Interventions
BEHAVIORALParent Group Discussion
A 2-hour interactive parent group delivered to 5-10 parents via zoom; discuss weight bias and discrimination; brainstorm ways to respond in parent-child interactions involving health and appearance; and identify action steps.
Sponsors
University of Oregon
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
12 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
for parent/caregiver: * at least 18 years old * the primary caregiver of at least one child 12-17 years old who lives with them at least 50% of the time * living in the state of Oregon * can read and understand English at the 6th grade level or higher * access to internet and private space for zoom Inclusion criteria for the child: * 12-17 years of age * can read and understand English at the 6th grade level or higher
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Parent/caregiver disordered eating symptoms | baseline to 1-month | Disordered eating will be measured using the 36-item Eating Disorder Examination Questionnaire (EDE-Q) |
| Parent-child feeding practices | baseline to 1-month | Child feeding practices will be assessed using the modified Comprehensive Feeding Practices Questionnaire (CFPQ). The monitoring, restriction for weight, restriction for health, environment, modeling, and teaching about nutrition subscales (27-items) will be used. 4 responses on the measure are rated on a 5-point scale from 1 (never) to 5 (always), while the rest are rated on a 5-point scale from 1 (disagree) to 5 (agree). |
| Parent/caregiver weight bias internalization | baseline to 1-month | Weight bias internalization will be measured using the modified 10-item Weight Bias Internalization Scale (WBIS-M). Responses on the measure are rated on a 7-point scale from 1 (strongly disagree) to 7 (strongly agree). |
| Exercise avoidance | baseline to 1-month | Exercise avoidance will be assessed using 2-items used in previous research (More et al., 2019). Responses on the measure are rated on a 7-point scale from 1 (not at all true) to 7 (completely true). |
| Parent/caregiver self-compassion | baseline and 1-month | Self-compassion will be assessed using the 12-item Self-Compassion Scale-Short Form (SCS-SF). Responses on the measure are rated on a 5-point scale from 1 (almost never) to 5 (almost always). Higher summed scores indicate greater self-compassion. The SCS-SF has near perfect correlation with the original 26-item Self-Compassion Scale. |
| Parent/child body ideal internalization | baseline and 1-month | Sociocultural attitudes towards appearance, including thin-ideal internalization, muscular-ideal internalization, and appearance-related pressures will be measured using three subscales from the Sociocultural Attitudes Towards Appearance Questionnaire Revised-3 (SATAQ-R). The Internalization-TV/Mag, Internalization-Athlete, and Internalization-Comparison subscales (13-items) subscales will be used. Responses on the measures are rated on a 5-point scale from 1 (definitely disagree) to 5 (definitely agree). |
| Parent/caregiver stress | baseline and 1-month | Parental stress will be measured using the 18-item Parental Stress Scale (PSS). Responses on the measure are rated on a 5-point scale from 1 (strongly disagree) to 5 (strongly agree). |
| Parent/caregiver fat talk | baseline and 1-month | Frequency of fat talk will be assessed using the 16-item Family Fat Talk Questionnaire. Responses on the measure are rated on a 5-point scale from 1 (never) to 5 (always). |
| Parent/caregiver anti-fat attitudes | baseline and 1-month | Anti-Fat attitude will be assessed using 3-items from the Willpower subscale of the Anti-Fat Attitudes Questionnaire (AFA). Responses on the measure are rated on a 9-point scale from 0 (very strongly disagree) to 9 (very strongly agree). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| child disordered eating symptoms | baseline to 1-month | Disordered eating will be measured using the 36-item Eating Disorder Examination Questionnaire (EDE-Q). |
| Parent-child relationship (child report) | baseline to 1-month | Child perceived quality of relationship with parent will be measured using the 8-item Parent-Adolescent Relationship Scale. Three items on the measure are rated on a 5-point scale from 0 (strongly disagree) to 4 (strongly agree) while the other 5 items on the measure are rated on a 5-pooint scale from 0 (never) to 4 (always). This measure has been validated in an adolescent sample. |
| child anti-fat bias | baseline to 1-month | Anti-Fat attitude will be assessed using 3-items from the Willpower subscale of the Anti-Fat Attitudes Questionnaire (AFA). Responses on the measure are rated on a 9-point scale from 0 (very strongly disagree) to 9 (very strongly agree). This measure has been validated in an adolescent sample. |
| Child exercise avoidance | baseline to 1-month | Exercise avoidance will be assessed using 2-items used in previous research (More et al,, 2019). Responses on the measure are rated on a 7-point scale from 1 (not at all true) to 7 (completely true). |
| fat talk (child report of parent/caregiver) | baseline and 1-month | Frequency of fat talk will be measured using the 14-item Fat Talk Questionnaire. Responses on the measure are rated on a 5-point scale from 1 (never) to 5 (always). Our team will make revisions to the language in the scale to replace gendered language with gender neutral language. This measure has been validated in adolescents 12 and up. |
| child weight bias internalization | baseline and 1-month | Weight bias internalization will be measured using the modified 10-item Weight Bias Internalization Scale (WBIS-M). Responses on the measure are rated on a 7-point scale from 1 (strongly disagree) to 7 (strongly agree). The measure has been validated in an adolescent sample. |
| child body ideals internalizations | baseline and 1-month | Sociocultural attitudes towards appearance, including thin-ideal internalization, muscular-ideal internalization, and appearance-related pressures will be measured using three subscales from the Sociocultural Attitudes Towards Appearance Questionnaire Revised-3 (SATAQ-R). The Internalization-TV/Mag, Internalization-Athlete, and Internalization-Comparison subscales (13-items) subscales will be used. Responses on the measures are rated on a 5-point scale from 1 (definitely disagree) to 5 (definitely agree). This measure has been validated in an adolescent sample. |
| child self-compassion | baseline and 1-month | Self-compassion will be assessed using the 17-item Self-Compassion Scale Youth Version (SCS-Youth). Responses on the measure are rated on a 5-point scale from 1 (almost never) to 5 (almost always). Higher summed scores indicate greater self-compassion. The SCS-Youth has been validated in an adolescent sample. |
Countries
United States
Outcome results
None listed